Individual
JOLYN ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
4-356 KUHIO HWY, KAPAA, HI 96746-1413
(808) 639-3070
Mailing address
PO BOX 441, KILAUEA, HI 96754-0441
(808) 639-3070
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
998
HI
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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